Individual provider Active NPI

Christina M. Salem, LPCC-S

  • Professional Counselor
  • Cleveland, OH
National Provider Identifier
1174670780
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0003871 Issued in OH
Practice address
3929 Rocky River Dr
Cleveland, OH 44111-4153
Phone
(440) 332-4245
Fax
(216) 252-9055
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0003871 OH Primary

Addresses

Primary practice location

3929 Rocky River Dr
Cleveland, OH 44111-4153

Mailing address

3017 Farnham Rd
Richfield, OH 44286-9687
Phone (216) 496-9467

Other names 1

  • Ms. Chris M. Salem Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612004160 OH Practitioner - Mental Health Counselor 1153863592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Imagining the Garden LLCGroup PAC ID 2365986189, 4 clinicians

Practice addresses (Care Compare)

7650 Chippewa Rd
Suite 310
Brecksville, OH 44141-2319
Phone (216) 716-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0003871OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Imagining the Garden LLC Mental Health CurrentSince May 1, 2024 Accepting new patients
Circle Health Services CurrentSince Apr 16, 2024 Accepting new patients
Circle Health Services CurrentSince Apr 16, 2024 Accepting new patients

Locations

7650 Chippewa Rd
Ste 310
Brecksville, OH 44141
Phone (216) 716-7777

4500 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9404

12201 Euclid Ave
Cleveland, OH 44106
Phone (216) 373-2846

3929 Rocky River Dr
Cleveland, OH 44111
Phone (216) 252-5800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1174670780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 FARNHAM RD",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869687",
            "telephone_number": "216-496-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 ROCKY RIVER DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114153",
            "telephone_number": "440-332-4245",
            "fax_number": "216-252-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "CHRISTINA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0003871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "SALEM",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "LPCC-S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.